Provider Demographics
NPI:1003479502
Name:BUSTAMENTE-TOLBE, MARGARET MANAOIS
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MANAOIS
Last Name:BUSTAMENTE-TOLBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1092 PAAWALU ST APT S8
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4281
Mailing Address - Country:US
Mailing Address - Phone:808-772-9137
Mailing Address - Fax:
Practice Address - Street 1:94-1092 PAAWALU ST APT S8
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4281
Practice Address - Country:US
Practice Address - Phone:808-772-9137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI75676163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse